Guided by decision-making in families theory, the current study investigated the role of spousal decision-making processes on purchasing long-term care insurance (LTCI) behavior using a sample of married women (N = 292) and men (N = 277) who were not married to each other. Spousal consensus regarding LTCI as a solution to the risk of long-term care (LTC) and spousal consensus regarding affordab...

Adequacy of the current clinical definition of institutional influenza outbreaks is unclear. We performed a retrospective genome sequencing and epidemiologic analysis of institutional influenza outbreaks that occurred during the 2014-15 influenza season in Toronto, Canada. We sequenced the 2 earliest submitted samples positive for influenza A(H3N2) from each of 38 reported institutional outbrea...

Depending on length-of-stay, somewhere between 29 percent and 38 percent of long-term care insurance purchasers who use nursing homes would qualify for Medicaid payments if they did not own a policy. This is equivalent to between 13 percent and 17 percent of all policyholders. Owning such a policy would, however, reduce spend-down rates among policyholders by 39 percent. Thus, in the presence o...

The level of need and costs of obtaining long-term care (LTC) during retired life require that planning for it is an integral part of retirement planning. In this paper, we divide retirement planning into two phases, pre-retirement and post-retirement. On the basis of four interrelated models for health evolution, wealth evolution, LTC insurance premium and coverage, and LTC cost structure, a f...

OBJECTIVE Antipsychotic (AP) utilization has grown significantly in long-term care (LTC) settings. Although a growing literature associates AP use with higher mortality in elderly with dementia, the association of APs with hospital events is unclear. The authors examine prevalence and trends in AP use by Medicare beneficiaries residing in LTC and the association of APs and other drug use variab...

AIM To examine the role that work relationships have on two long-term care outcomes: job satisfaction and turnover intention. BACKGROUND It is easy to overlook the impact that human relations have in shaping work environments that are conducive to organizational effectiveness. Employee job satisfaction and retention are important organizational outcomes. METHODS Six hundred and seventy-five...

Diagnostic difficulties may have led to underestimation of rhinovirus infections in long-term care facilities. Using surveillance data, we found that rhinovirus caused 59% (174/297) of respiratory outbreaks in these facilities during 6 months in 2009. Disease was sometimes severe. Molecular diagnostic testing can differentiate these outbreaks from other infections such as influenza.

BACKGROUND Delayed diagnosis of scabies can cause an institutional outbreak, which causes considerably economic burden to control. This study was to find the risk factors for delayed diagnosis of scabies in hospitalized patients from long-term care facilities. METHODS We conducted a retrospective analysis of the hospitalized patients from long-term care facilities, diagnosed to have scabies b...

OBJECTIVE We performed an integrated cross-sectional analysis of relationships between long-term care work environments, employee and resident satisfaction, and quality of patient care. METHODS Facility-level data came from a network of 203 skilled nursing facilities in 13 states in the eastern United States owned or managed by one company. K-means cluster analysis was applied to investigate ...

Currently, over 70% patients visiting home nursing stations receive service under the national long-term care insurance policy. As many of them are elderly, we should consider prevention and management of their pressure ulcers in nursing. It is well known that a risk of developing pressure ulcers is related to not only local factors but also other factors such as systemic and environmental cond...